Episode 12 Helicopter Heroes


Episode 12

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When the people of rural Yorkshire dial 999,

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help can be a long time coming.

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The Yorkshire Dales are as beautiful as they are big,

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but if you're seriously injured in a landscape as gigantic as this,

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your life is on the line.

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But in the remotest parts of Britain's biggest county,

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they look to the skies for help.

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Look on your left. That grass field on the left. Go for that.

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From high drama in the Peaks to high waters in the Dales,

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the Helimed team's at the heart of almost every rescue,

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bringing 21st-century medicine

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to some of Britain's most isolated communities,

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and saving lives against the odds.

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Today, on Helicopter Heroes,

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a knifeman's on the loose

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and the Helimed team must save his young victim.

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-Just lay down, all right?

-He had a stab wound to his right arm.

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It had gone in one side and come out the other.

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A race is disrupted by an angry insect.

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They're running past an old tree and disturbed a hornets' nest.

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An escape to the country ends in agony.

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He fell off the unprotected walkway onto a concrete floor.

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The team scramble to a dramatic crash caught on camera,

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but who's going to care for this passenger?

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In countryside as beautiful as this,

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it's hard to imagine being the victim of violent crime.

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But the frightening truth is,

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there are 30,000 knife crimes every year in the UK.

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40% of murders involve bladed weapons,

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and nowhere is totally safe.

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Every day, Yorkshire's ambulance service receives 2,000 999 calls,

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-but some are more urgent than others.

-'Hello?'

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-Ambulance Service. Did you call an ambulance?

-'Yes, I need an ambulance.

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-'My nine-year-old son's been stabbed.'

-OK. Are you with him now?

-'Yes.'

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-Is he awake?

-'Only just.'

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The Helimed team's dispatcher monitors every call,

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and often, the chopper is in the air before the caller has even

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given full details of the incident.

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-Where did it happen?

-'In a park.'

-OK.

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-Is there any serious bleeding?

-'Yes, it's very serious, it's gushing out of his arm.

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'He's been stabbed all the way through his arm.'

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Today, the adrenaline is pumping.

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The stabbing has happened just four miles from base.

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Below, a manhunt is under way for the attacker.

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Is he completely alert?

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'Yes, although I've got pressure just above the wound,

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-'and I'm trying to keep his legs elevated.'

-OK.

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-Can you see the ambulance coming?

-Yes.

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That looks like them in the field there.

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Pilot Steve's touching down in a park.

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Ground paramedics are bringing the victim to the chopper.

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Nine-year-old Jason D'Arcy has stab words to his arms and torso.

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Just lay down and then we will sit you up a little bit.

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You could see there was a single stab wound to the lower left

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of his sternum, and also he had a stab wound to his right arm

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that had gone in one side and come out the other.

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We did find his BP was quite low so we gave him

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some fluids which corrected that situation.

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His dad Lee, who made the 999 call, is a first aider

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who did all the right things in the minutes after the attack.

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Helimed paramedic Lee Davison knows that Jason's loss of blood pressure

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could be a sign of severe internal bleeding.

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The hunt for the knifeman is on, and police officers are tense.

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It's important to keep Jason's spirits up,

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which is helped by the fact that he's excited

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by the prospect of a flight.

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Let's have a look. Oh, dear. All right.

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This is a rare incident.

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Jason apparently did nothing to provoke the attack.

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-Right, Jason. You know where he's going?

-Eh?

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-Do you know where he's going?

-Yeah. Am I not coming with him?

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-Don't think we can carry you, mate. We haven't got enough weight.

-Right.

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-How do I get there, then?

-We'll have a word with the police.

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Police will get you there.

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Flying doctor Andy Pountney will be caring for Jason during his flight.

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See you later, son. Enjoy your ride. You're a superstar, you really are.

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'And here's the news.

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'A nine-year-old boy's been stabbed in the chest

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'and arm at a skate park in Shipley in West Yorkshire.

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'He's currently in a stable condition.

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'Three people have been arrested.'

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Reports are coming in of another victim,

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an elderly woman found dead in her home nearby.

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But paramedic Lee and the team are focused on saving their patient.

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The five-minute flight to Leeds General Infirmary is longer

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than they'd like.

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As flying doctor Andy knows only too well,

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the most serious knife injuries are hard to treat.

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The problem with a stab wound or a gunshot wound as well is

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often you don't know what has been injured underneath.

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You can see a wound on the surface,

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but you don't know what's going on inside.

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If that's in an arm or a leg,

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it could have damaged major blood vessels or nerves or other structures,

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but particularly around the chest,

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and particularly where this patient's stab wound is, obviously,

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the concern is has it damaged the heart or any of the major blood vessels or major structures inside?

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OK, I'm just going to lay you flat, OK? All right?

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It does get the adrenaline pumping a little bit,

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but the team will try and stay calm, just so they can stay focused

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on the job in hand, and not get too distracted by other things.

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That's important.

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One, two, three, and lift.

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The priority of the team is now to determine the depth of Jason's wounds.

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Police in West Yorkshire have arrested a 26-year-old man

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on suspicion of stabbing a nine-year-old boy in a skate park yesterday.

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The same man is also being questioned over

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the murder of an 84-year-old woman, who is believed to be his relative.

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'Instead of children playing,

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'it's police forensic teams that have taken over Carnegie Park.

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'This is now a crime scene,

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'after a nine-year-old boy was stabbed for no reason.

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'Eli tried to help.

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'He said some children here no longer want to play outside.'

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They're petrified of going anywhere by themselves.

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'Today, police came to the skate park,

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'to try to reassure those who live here.'

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But one local nine-year-old doesn't need much reassurance.

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Almost as soon as he's home, Jason is heading back to the park

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with Dad for company, trying to put the attack behind them.

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Jason played out here every night.

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He was here more than he was at home, to be honest.

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He would come home from school, get changed out of his uniform,

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straight on his scooter and out to the park. It were a regular day.

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I'd just got home from work.

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Probably been in about an hour, the kids were all out playing,

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and the first I knew about it is when Jason managed to struggle home

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and opened the door and just shouted, "Help me, Dad."

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When I came downstairs, he was sat on the bottom steps.

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He was covered head to toe in blood.

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All he said was a man stabbed him

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at the park on his way home from the park.

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I mean, he was in shock himself, obviously,

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and I was quite surprised he made it home, the amount of blood he lost.

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Luckily, Jason's dad knew just what to do, despite his own shock.

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I am a qualified first aider.

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I have been for over 20 years, so my first priority was to get him

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to lie down, I grabbed his arm to stop the blood,

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I applied pressure to the wound,

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elevated his legs to keep the blood flowing,

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and while I were doing that, I was also trying to ring 999.

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-'Is there any serious bleeding?

-'Yes, it's very serious, it's gushing out of his arm,

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-'he's been stabbed all the way through.'

-All right. Is he completely alert?

-'Yes.

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'I've got pressure just above the wound.'

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Jason was more excited than concerned.

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Paramedics told him that Helimed 99 was the chopper that once

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flew his hero Richard Hammond to the same hospital.

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They were just asking me where it happened and stuff,

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and some of my friends saw it, cos they were on my street.

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All right, buddy? OK, we're away now.

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It were really fun going up in the air,

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cos I've never been up in the air before.

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After surgery, Jason's arm still needs treatment.

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But happily, the stab wounds to his chest did not penetrate any vital organs.

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They told me when I get like my dad's age, I won't be able to see it any more.

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They're trying to keep my tendons bent so they can join back together,

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and...it gets really hot inside.

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There is no more spectacular way to see the Yorkshire Dales than

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on foot, but fell runners don't have much time to take in the scenery.

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This gruelling sport demands all the stamina of a marathon runner

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combined with the agility of a goat.

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Competitors often cover 20 miles or more,

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but it's the thousands of feet uphill and down dale that really hurt.

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Today, two runners need help for an unusual injury.

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There's two jobs come in, literally 100 yards from each other,

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where two people have been stung by bees.

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I think one is more serious than the other.

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They've been described as having difficulty breathing.

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In the flowerbeds and meadows of North Yorkshire,

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summer is in full bloom and wasps, bees

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and hornets are all keen to protect their territory.

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No-one knows what was responsible,

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but runner Claire Stalling is in a bad way.

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-So anaphylaxis? Is it an adult?

-I believe so.

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Anaphylaxis is potentially fatal.

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It's an extreme reaction to the toxins in a sting.

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-Visual. One o'clock, two ambulances.

-OK.

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From 99. Visual with ambulances making final approach.

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Claire is one of two runners who had an extreme reaction,

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but the second victim is on the mend.

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-Claire was on the run.

-Hello, Claire.

-She's allergic to wasp stings.

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Everything went a bit blurry and she's complained

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-of swelling in the throat and tightness in the upper chest.

-Yes?

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-Where did they sting you?

-Right on top of my head.

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Have we made sure the sting's not still there?

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-Oh, it's a wasp not a bee?

-We think it's a hornet.

-They were quite big.

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Yeah? They've not been around here, have they?

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I'm about to run if they have!

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There's been a trial race which we run every year.

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We're on the 5km mark, they're running past an old tree

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and obviously disturbed a hornets' nest or wasps' nest.

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Quite a few people have got stung.

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The poor lady who you see now has got stung on the head several times

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and had quite a reaction to it.

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Might be as well just to nip you to the hospital to be checked out. OK?

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How do you feel about that?

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I think it's a bit of a waste, if I'm honest.

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I really think I can get back. Honestly.

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I'm going to feel really guilty if I get in an ambulance for this.

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Claire doesn't want a fuss, but her condition could be life-threatening.

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Please don't feel guilty.

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Your blood pressure has been really quite low, OK?

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So we would like to take you.

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She's been given antihistamines and adrenaline

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and a drip is helping to raise her blood pressure.

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Would you say this has run out now?

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To you and me who don't have a reaction to them, it is painful

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and uncomfortable but to people who do have reactions to insect stings,

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to bee stings and things like that,

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it's pretty serious.

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I'm bringing to you a 44-year-old female.

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Had a severe anaphylaxis reaction post query sting twice on the scalp.

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We don't know if it was a bee or a wasp or a hornet.

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Basically what it does is it open the floodgates.

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Everything swells, everything goes red, you start with rashes,

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which in turn if you think of everything swelling,

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the airways start to swell, you have trouble breathing,

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and it's not until we can get to them

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and get some adrenaline on board

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that we can start reversing the effect of the sting.

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OK, up to shoulder height. Ready, up.

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-Terrific.

-Lovely.

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We'll get you a blanket as well if you're feeling a bit chilly.

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Claire's not reacted to stings like this before.

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In future, she may need to carry an EpiPen when she goes out running.

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It counters anaphylaxis instantly.

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ANNOUNCEMENT OVER RADIO

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Helimed 98 now approaching.

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The most dangerous time for the victims of stings

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is in the first few minutes after the attack

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but doctors will keep Claire under observation for some time.

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Happily, Claire goes on to recover well,

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but she'll be steering clear of bees, wasps and hornets from now on.

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Fancy getting away from it all?

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Lots of people like the idea of leaving the city behind

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and escaping to the country to live in scenery like this.

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The wide-open spaces of the Yorkshire Dales

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were once a forbidding place to live.

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These valleys were home to a handful of hill farmers

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struggling and often failing to make a living.

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But now the Dales are growing with a permanent population of 20,000.

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Converting the traditional stone barns is big business.

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One of them is Helimed 98's destination today.

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We're in a location near Catterick in North Yorkshire.

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We've had reports of an elderly gentleman that's fallen down

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two storeys up a ladder. There's potential there for major trauma.

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So we were sent in. The plan is to take an assessment there.

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The team's patient was renovating a barn

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near the market town of Bedale when he fell 15 feet.

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Help is landing at the bottom of the garden.

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So what's been happening? Someone's been falling?

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It's Jeremy Downie. He's taken a fall from a gallery, you'll see.

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Nobody saw him fall. He's landed on a concrete floor.

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We're not quite sure what hit first.

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65-year-old Jeremy Downie is in a bad way. He's in severe pain.

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-It's the air ambulance. You probably heard us landing.

-I did.

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-OK, can you remember everything that's happened?

-Yes.

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OK, got any pain anywhere?

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-My back's a bit sore.

-Whereabouts in your back?

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-Lower back? Upper back?

-Sort of between my shoulders and my waist.

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This is an ambitious conversion.

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Jeremy was working on the first-floor gallery when he slipped.

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His wife is worried.

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He apparently fell off the unprotected walkway onto a concrete floor.

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He's very careful and it's very rare for him

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to have an accident of any kind.

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Jeremy moved north from Essex for the good life in the Dales.

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We're just going to check you out, see if we can see any injuries, OK?

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-So no injuries in your neck?

-I don't feel anything.

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-I don't feel any pain.

-Nice deep breaths and move your chest.

-Do what?

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Deep breaths in and out.

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Dales barn conversions can command high prices.

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Half a million pounds for three bedrooms isn't uncommon around

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here, and the National Park's tough planning restrictions mean

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there's a limited supply of new homes on the market.

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We're going to treat you.

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Potentially, you could've hurt your back. OK?

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So that means we're going to put you on a board

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and put a collar on your neck, so you're going to be quite trussed up.

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Jeremy's home is at the end of a rough track.

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A ride on a ground ambulance to hospital would've been painful

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and potentially dangerous for a man with a suspected spinal injury.

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Tummy feel OK?

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The ambulance would be a bit of a nightmare.

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We've got a long drive which is about a mile long

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and it's quite pot-holey, so it would've taken time

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and it's not comfortable, so there might've been

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an issue getting in and out anyway with the pot holes in the ground.

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So obviously, with a helicopter that really has helped.

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Instead, Jeremy is going to be flown to Cook Hospital,

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30 miles away in Middlesbrough.

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No major concerns,

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other than the fact he's fallen from quite a height, so we're going

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to mobilise his spine just in case he has done some damage,

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he has got some pain to his back.

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Can see if the local trauma centre will accept him.

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It does tick the box for major trauma centre assessment,

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falling from a height.

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Ready, steady and lift.

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This is a major blow to his development plans.

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He was doing much of the work himself,

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and a long recovery will be disastrous.

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Everyone is hoping that paramedic Tony's optimism is not misplaced.

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-You OK there, Jeremy?

-Yes.

-OK, good man.

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Motorists in the twisting lanes of the Dales are lucky

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to average 30mph.

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Jeremy's heading for treatment at 150.

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Get you off the helicopter same way we got you on, onto a stretcher,

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you'll be going to A&E and they'll have a look at you very quickly

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and we'll get you off this board. OK.

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Jeremy is subjected to a battery of x-rays and tests.

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They reveal that he has been very lucky.

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Despite his dramatic fall, his injuries are not serious,

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and he is allowed home to Arbour Hill

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to continue work on his conversion.

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And a few weeks later, he's back at work on what, for him,

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is a labour of love.

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Initially it was the stonemasons and there was nothing we could do.

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But I think a year and a half we've been involved,

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working quite a lot ourselves and with other people, doing jobs

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they can't do.

0:19:270:19:28

It's to remember all the difficulties about...

0:19:290:19:32

The talk about how many different arcs there were in the door archway.

0:19:320:19:39

Jeremy and his wife have captured every

0:19:390:19:42

stage of their project on film.

0:19:420:19:44

They have had to use traditional methods in order to preserve

0:19:440:19:47

the character of their 250-year-old home,

0:19:470:19:50

but Jeremy's fall could've left their grand design in ruins.

0:19:500:19:55

Suddenly I realised I'd fallen off, and for a moment I thought,

0:19:550:20:00

"Oh, my God, this is going to be terrible",

0:20:000:20:02

and then I hit the floor over there, and I knew just to lie there,

0:20:020:20:08

I didn't move, and I crashed on my back,

0:20:080:20:12

which made me expel all the air, which came out as a sort of shout.

0:20:120:20:17

I wasn't here. I had left about 15 minutes earlier to go shopping.

0:20:180:20:22

My daughter, who phoned, Aisling, said, "Oh, he's not bad",

0:20:220:20:27

but I knew from her voice that she thought in fact he was

0:20:270:20:30

seriously injured, and yes,

0:20:300:20:36

I don't know what was going through my mind.

0:20:360:20:38

Panic, I should think. Terror. You know, every emotion.

0:20:380:20:43

I was probably at the hospital in less time than it would've taken

0:20:450:20:50

to drive down the drive, which was terrific.

0:20:500:20:55

And Jeremy stuck to his timetable.

0:20:560:20:58

Work on their retirement home was completed in time for Christmas.

0:21:010:21:05

The market town of Helmsley sits right on the edge

0:21:100:21:13

of the North York Moors, dominated by its imposing medieval castle.

0:21:130:21:19

At weekends, these narrow roads fill with tourists

0:21:190:21:22

heading into the National Park or off to the Yorkshire coast.

0:21:220:21:27

But today, this CCTV camera is about to capture an extraordinary crash.

0:21:270:21:33

Suddenly, the pace of the market town is interrupted by this...

0:21:330:21:37

-En route to Helmsley.

-That's not looking particularly clever.

0:21:410:21:46

We won't be going over the high ground.

0:21:460:21:48

On the ground, paramedics are racing to the scene from nearby villages.

0:21:480:21:52

There are several patients to treat,

0:21:520:21:54

and it's thought some are still trapped in the car.

0:21:540:21:57

It's been quite a nice afternoon on the bank holiday

0:21:570:21:59

but the forecast has predicted heavy rain

0:21:590:22:01

and showers with thunderstorms.

0:22:010:22:03

Potentially dry roads all of a sudden have flash floods.

0:22:030:22:06

Very treacherous conditions for driving.

0:22:060:22:09

There's three vehicles involved.

0:22:090:22:12

One of the cars is on its side with people trapped inside.

0:22:120:22:16

This tightly-packed medieval town means finding a suitable

0:22:170:22:21

landing site is going to be difficult.

0:22:210:22:24

-There's a gate through there, where the cars are all queued up.

-Oh, yeah.

0:22:260:22:30

-See what I mean?

-Yeah.

-Just going to come round.

-I'm happy with that.

0:22:300:22:34

-OK your side?

-Yeah, you're fine on my side.

0:22:340:22:37

The crash has blocked the main road into Helmsley.

0:22:400:22:43

And as well as the human casualties, there's a canine one.

0:22:430:22:47

Ushka the guide dog was on a day out

0:22:470:22:50

with her partially-sighted owner.

0:22:500:22:53

-How are you?

-OK.

0:22:530:22:55

We set off with seven people injured

0:22:550:22:56

but, actually, we've probably got just three casualties now.

0:22:560:23:00

-OK.

-The chap here is the driver of this vehicle.

-Yeah.

0:23:000:23:03

He's come in and somehow has just lost control.

0:23:030:23:06

When he's hit the kerb, he's tried to rectify,

0:23:060:23:09

-not been able to rectify it and...

-It's just rolled, hasn't it?

0:23:090:23:12

This lady has got...she seems to have suffered the worst

0:23:120:23:17

but she's just complained of pain in this right shoulder.

0:23:170:23:20

Shall we get a set of obs on her?

0:23:200:23:21

Hello there, Monica, how are you feeling?

0:23:210:23:23

A bit of pain on that right-hand side, is it?

0:23:250:23:27

-That's it, my darling.

-What's your dog called?

0:23:270:23:29

-Ushka. Ushka.

-Ushka.

0:23:290:23:31

-Whereabouts were you sat in the car, Monica?

-At the back.

0:23:310:23:35

Men found my purse in the back.

0:23:350:23:37

OK, darling. No worries. No problem.

0:23:370:23:39

Paramedics Leon and Al

0:23:390:23:41

are struggling to work out how it happened.

0:23:410:23:44

Sorry? That's the driver.

0:23:460:23:50

He's got a cut hand, laceration. She was sat here.

0:23:500:23:54

That's who the crew are mainly concerned about.

0:23:540:23:57

And then I think he's had his hand out,

0:23:570:23:59

trying to pull everyone out of the car, hasn't he?

0:23:590:24:01

Despite this rather dramatic looking accident,

0:24:010:24:04

it doesn't look like anybody is too badly injured.

0:24:040:24:07

A few cuts and bruises and things like that. It's very spectacular.

0:24:070:24:11

I'd like to know exactly how it happened.

0:24:110:24:14

It seems a bit unreal almost in this sort of like quiet

0:24:140:24:18

sort of street to have a car up on its side and all that.

0:24:180:24:22

Bet the locals wondered what the crikey was going on.

0:24:220:24:27

The pictures from this private CCTV camera will form a key

0:24:290:24:34

part of the police investigation.

0:24:340:24:37

But despite the spectacular scene,

0:24:370:24:39

it seems everyone escaped major injury.

0:24:390:24:43

-You've just got a cut on your arm, haven't you?

-Yes.

0:24:430:24:45

All these patients will be going to the local hospital by road.

0:24:450:24:49

And Ushka the dog has been booked in for a checkup at the vet's.

0:24:490:24:53

It's certainly been a lucky escape from a spectacular crash.

0:24:530:24:58

The rocky heights of the Pennines have a rugged beauty that has

0:25:040:25:07

inspired writers for centuries, from the Bronte sisters to poet

0:25:070:25:11

Ted Hughes, and even the creators of Last Of The Summer Wine.

0:25:110:25:15

These hills have been the backdrop to larger-than-life characters

0:25:150:25:19

and dramatic events.

0:25:190:25:21

Latest, Helimed 98.

0:25:210:25:22

Shortly loading. We'll call again for lifting.

0:25:220:25:25

Today, the drama is real.

0:25:250:25:28

Helimed 98 is heading up onto the peaks, around Holme Moss.

0:25:280:25:32

-RADIO:

-'Just an update.

0:25:320:25:36

'If you follow the road up past the reservoir,

0:25:360:25:39

'the RV is a bit further up on top of the hill.'

0:25:390:25:42

This Pennine outcrop is so high, it is the site of the radio

0:25:420:25:46

transmitter that broadcasts BBC programmes to most of the North.

0:25:460:25:51

You see that car park to the right there?

0:25:510:25:52

I visual that one as well, mate.

0:25:520:25:54

Hold on, which way's the ambulance pointing?

0:25:550:25:57

-He's pointing back up the hill, mate.

-At top of the hill?

0:25:570:26:00

I think so.

0:26:000:26:01

The accident has happened on a minor road on a steep hillside.

0:26:010:26:05

There's a big depression in the road, a big dip.

0:26:070:26:10

As he's come over it, he just lost it

0:26:100:26:12

and it threw him onto the side.

0:26:120:26:14

He's slid into the barrier and he's ended up down here.

0:26:140:26:18

Tom Manley was out for a ride with biking colleagues.

0:26:180:26:21

They called in his son, who lives nearby.

0:26:210:26:24

The plan of action is, we'll package him here

0:26:240:26:26

and then we'll drive up to meet the aircraft. We can't stay here.

0:26:260:26:30

-Up to the car park?

-Yes, to the top car park.

0:26:300:26:32

That's the best option, I reckon, in't it?

0:26:320:26:34

He's been doing it 25 to 30 years and he's had a bit of a break

0:26:340:26:38

from riding. Just went out for an hour. Just an hour's ride.

0:26:380:26:43

-TOM GROANS

-Are you all right, Tom?

0:26:430:26:45

-What's hurting? What's hurting?

-Me back.

-Is it your back?

0:26:450:26:48

-The same place?

-Yeah.

0:26:480:26:50

It's feared Tom has a spinal injury.

0:26:500:26:53

He's collided with a safety barrier designed to stop cars

0:26:530:26:57

plunging down the hillside.

0:26:570:26:58

I'm thinking while we've got you on the C-spine, mate,

0:26:580:27:01

do you think we'll manage to pull him out onto the road, so we can...

0:27:010:27:04

-Yeah.

-One, two, three, up.

0:27:040:27:05

Paramedic Andy Armitage is a former soldier who served in Afghanistan

0:27:050:27:10

-alongside special forces.

-Take some deep breaths for me in a second.

0:27:100:27:14

A deep breath. HE GROANS

0:27:140:27:17

He still has to think fast.

0:27:170:27:18

The treatment he gives over the next few minutes could be the difference

0:27:180:27:22

between a good recovery and a lifelong disability for his patient.

0:27:220:27:28

-Is that hurting?

-Yeah.

-What's it hurting? When you breath?

0:27:280:27:31

-My back, yeah.

-When you take a big breath?

-Yeah.

0:27:310:27:35

These Pennine roads are popular with bikers.

0:27:350:27:38

But when there's an accident, hospital can be a long drive away.

0:27:380:27:43

The police know Tom's lucky to have survived this impact.

0:27:430:27:46

More speed and it could've been a different story.

0:27:460:27:49

If you look at the distance he's actually travelled, he's not

0:27:490:27:51

travelled that far so I don't think he's been going that fast.

0:27:510:27:54

But with the bike you're very vulnerable, aren't you?

0:27:540:27:57

And if you hit any sort of street furniture - like this barrier -

0:27:570:28:00

you're liable to cause yourself some serious injuries.

0:28:000:28:03

Tom is in great pain. Paramedics can deal with that.

0:28:030:28:07

But safely moving him from the position

0:28:070:28:10

in which he came to rest isn't easy.

0:28:100:28:12

And they must keep his spine straight.

0:28:120:28:15

The road's too narrow

0:28:150:28:17

and the hillside too steep to land Helimed 98 here.

0:28:170:28:21

Tom will be driven to a car park nearby by ground ambulance.

0:28:210:28:25

His son is still shaken by his dad's accident.

0:28:250:28:29

I panicked big-time because he was unconscious

0:28:290:28:31

and he wasn't moving and I couldn't see because his eyes were shut.

0:28:310:28:34

So I tapped, I tried not to move him.

0:28:340:28:37

I touched his face and he opened his eyes a bit so I moved his hand.

0:28:370:28:41

I saw he was a bit all right

0:28:410:28:42

but I didn't know if he was struggling to breathe.

0:28:420:28:45

He was struggling, but...

0:28:450:28:47

-All right?

-HE GROANS

0:28:470:28:49

-You were in a bad way when I found you.

-Seriously?

0:28:490:28:52

You were in a bad way when I found you. I was very concerned.

0:28:520:28:57

I went into first-aid mode.

0:28:570:28:59

It was a good job I did that first-aid course at work.

0:28:590:29:01

If the clouds had been any lower, pilot Chris may not have been

0:29:010:29:06

able to reach the scene of Tom's accident.

0:29:060:29:08

The Pennine climate often defies the weather forecast.

0:29:080:29:12

What's the temperature today? 28? 29?

0:29:120:29:16

Clear blue skies. And what is it now? It's blowing a hooley.

0:29:160:29:19

Tom was on his way home to the town of Glossop in Derbyshire

0:29:190:29:23

when the accident happened.

0:29:230:29:25

Now Dad is heading straight to a specialist spinal

0:29:250:29:28

injury centre in West Yorkshire.

0:29:280:29:31

Thomas, I'll only call you that if it's a Sunday,

0:29:310:29:33

-but it's a Saturday so I'll call you Tom.

-Right.

0:29:330:29:35

Now we've decided where we're taking you, OK,

0:29:350:29:38

-we're going to take you to Pinderfields Hospital.

-OK.

-OK?

0:29:380:29:42

For paramedic Andy it's been a difficult case.

0:29:420:29:46

And Tom's long-term outlook isn't certain.

0:29:460:29:49

You quite often see people that are dead

0:29:490:29:51

as soon as they've impacted with a lamp post or a tree.

0:29:510:29:55

So to be fair, at the moment,

0:29:550:29:56

it looks like he's come off pretty lightly.

0:29:560:29:59

I'm a bit concerned about his back,

0:29:590:30:01

you know, at high speed

0:30:010:30:02

hitting a barrier like that,

0:30:020:30:04

it won't do the spine much good.

0:30:040:30:06

But hopefully everything will be fine.

0:30:060:30:09

Tom is taken immediately to intensive care at Pinderfields Hospital.

0:30:100:30:15

His spine is given the all clear but he does have a bleed on the brain.

0:30:150:30:20

He also has ten broken ribs.

0:30:200:30:23

It's months before he recovers fully and it will be a long time

0:30:230:30:26

before he's back on the roads of the high Pennines.

0:30:260:30:30

-RADIO:

-Topcliffe approach. Helimed 98. Good afternoon.

0:30:360:30:40

Like all paramedics, the Helimed team is there to

0:30:400:30:43

save lives but it has another important job - preventing pain.

0:30:430:30:48

INDISTINCT

0:30:480:30:51

Helimed 98 Alpha just lifting from Topcliffe, routing to Helmsley,

0:30:510:30:54

requesting a basic service.

0:30:540:30:57

With some of the most powerful drugs known to

0:30:570:31:00

medicine at their fingertips, paramedic Paul and John can

0:31:000:31:03

save patients the agony that comes with many dramatic injuries.

0:31:030:31:09

We've just received a call from a gentleman who's been using

0:31:090:31:11

a circular saw and has unfortunately cut into his hand.

0:31:110:31:15

Don't know if he's amputated any of his fingers.

0:31:150:31:17

We'll get there as soon as and check his injury

0:31:170:31:21

and take him to the nearest centre.

0:31:210:31:23

Helimed 98 has been scrambled to a stately home

0:31:230:31:27

on the edge of the North York Moors.

0:31:270:31:29

The patient was using a saw in a woodworking shop

0:31:290:31:32

when he was badly injured.

0:31:320:31:34

Think it might be this clearing near where the house is.

0:31:340:31:38

-See the house there.

-Possibly. Landing site in sight.

0:31:380:31:42

Pre-landing checks, please.

0:31:420:31:44

Pilot Ian is touching down in the extensive

0:31:440:31:48

grounds of Duncan Park,

0:31:480:31:50

a stately pile that for most of the last century was a private

0:31:500:31:54

school until its new owners turned it back into a family home.

0:31:540:31:59

He's taken off the tops of three knuckles there.

0:31:590:32:02

-He's got a big skin flap that was folded over.

-Right.

-OK.

0:32:020:32:06

-Yeah.

-And it looks like he's skimmed the top of his hand with a circular saw.

0:32:060:32:09

-It's a nasty, nasty hand injury.

-OK.

0:32:090:32:12

-Tremendous amount of pain.

-Has he had anything for it?

0:32:120:32:14

He's had Entonox and ten milligrams of morphine.

0:32:140:32:17

-About 20 minutes ago, the morphine went in.

-About 20 minutes.

0:32:170:32:21

William was making windows for his home

0:32:210:32:23

when the accident happened.

0:32:230:32:25

-He works on the estate.

-Hi, Will. Now then, how are you doing?

0:32:250:32:30

-I know you had a bit of a bad injury on that hand, haven't you?

-Yes.

0:32:300:32:34

How's the pain at the moment, then?

0:32:340:32:36

Er... manageable.

0:32:360:32:38

Are you managing with what you've been given so far

0:32:380:32:41

with the morphine and the gas and air?

0:32:410:32:43

If you could upgrade it a little, I wouldn't mind.

0:32:430:32:47

-You can still move them slightly?

-I can still move them all.

0:32:470:32:50

All right, pal.

0:32:500:32:52

Pain is generated by nerve endings

0:32:520:32:53

and its intensity depends on where in the body the injury has occurred.

0:32:530:32:58

Wounds to the hand are among the most painful the team can be asked to treat.

0:32:580:33:03

William was working in the estate joiners shop

0:33:030:33:08

and was cutting a piece of wood on the crossbench saw

0:33:080:33:14

and has cut the back of his hand and has lost a certain amount of blood

0:33:140:33:20

but thankfully his fingers can move so not too bad, we hope.

0:33:200:33:25

-We're going to get...

-As far as we can?

-Pull it round, get it round.

0:33:250:33:30

Fortunately I think there were two or three other people

0:33:300:33:32

working in the workshop at the time

0:33:320:33:35

so they bandaged him up and phoned the ambulance.

0:33:350:33:38

No, it's all right. It's the best we can do.

0:33:400:33:43

He's got good movement there and sensation which is a good thing.

0:33:430:33:46

It means it hasn't gone through any deeper into the hand.

0:33:460:33:49

He's got a good pulse so circulation's good in there.

0:33:490:33:52

I've just given him some morphine and we've had some Entonox as well

0:33:520:33:55

so he's had some good pain relief.

0:33:550:33:57

We've just had a chat with James Cook Hospital to see if they'll accept. They have done.

0:33:570:34:01

So we're just going to transport him to the air ambulance and fly him up to James Cook.

0:34:010:34:05

William's still bleeding badly under the bandages.

0:34:050:34:08

The team's keeping his hand raised to minimise the blood loss.

0:34:080:34:12

Will, because the blood pressure is all right and you're in pain

0:34:120:34:16

you can have a bit more of the morphine.

0:34:160:34:18

Sunk in the mud a little bit there.

0:34:200:34:22

OK, we'll try it a bit higher than normal.

0:34:220:34:25

Because of the high ground behind us.

0:34:260:34:28

For pilot Ian, take-off will mean negotiating

0:34:280:34:31

the work of Georgian landscape gardeners.

0:34:310:34:34

Through that gap there.

0:34:340:34:36

Trees planted to beautify the view from the house are a serious problem.

0:34:360:34:42

Top of approach, Helimed 98 Alpha. En route James Cook Hospital.

0:34:420:34:47

William's being flown to the James Cook Hospital in Middlesbrough,

0:34:480:34:52

where plastic surgeons are waiting to examine his hand.

0:34:520:34:56

What they find is extensive damage to his knuckles

0:34:570:35:00

but the tendons in several fingers have also been severed.

0:35:000:35:04

They'll require delicate surgery if he's to keep full use of his hand.

0:35:040:35:09

William's soon back home on the North York Moors

0:35:110:35:13

but it will be a while before he's able to fully return to work.

0:35:130:35:18

According to Sport England, more than a quarter of a million women

0:35:220:35:26

are now regularly doing this at the weekend.

0:35:260:35:30

Soccer is not just a man's world any more.

0:35:300:35:33

Here in Middlesbrough, the men are out of the Premier League now

0:35:330:35:36

but the girls are at the top of their game.

0:35:360:35:39

Unfortunately, Helimed pilot Chris is about to blow the final whistle.

0:35:410:35:45

At the ground.

0:35:450:35:48

Bit of an odd one, this.

0:35:510:35:53

She had an elbow in the side of her face

0:35:530:35:55

and she's complained of jaw pain

0:35:550:35:57

but that was probably 15 minutes before the end of the match.

0:35:570:36:01

As soon as it got to the end of the match, she went down.

0:36:010:36:04

She says she has no feeling in her right leg.

0:36:050:36:09

I can't get her to grip my fingers.

0:36:110:36:13

19-year-old Kirsty Flynn is being treated by local paramedics

0:36:130:36:18

who fear she may have suffered a spinal injury.

0:36:180:36:21

She's not making much sense. It's a puzzling case.

0:36:210:36:25

Women's football is every bit as physical as the men's game

0:36:250:36:29

but it's actually quite safe.

0:36:290:36:32

Most medics rate rugby as among the riskier games

0:36:320:36:36

but bowls is often said to be statistically the most likely

0:36:360:36:40

to land you in an ambulance thanks to the age of the players.

0:36:400:36:44

SHE CRIES OUT

0:36:440:36:46

Paramedic Dave Appleby is a keen player himself.

0:36:460:36:50

He needs Kirsty to help him so HE can help HER.

0:36:500:36:55

-Kirsty?

-My name's Dave.

-I'm one of the paramedics on the ambulance.

0:36:550:36:59

I know it's a bit difficult, sweetheart,

0:36:590:37:01

but we really cannot get you onto this board

0:37:010:37:03

unless we get your legs close together, all right?

0:37:030:37:07

It all kind of happened so fast.

0:37:070:37:08

We were all concentrating on our jobs on the pitch

0:37:080:37:11

and knowing her character, what Kirsty is as well,

0:37:110:37:14

we know that she doesn't go down easily.

0:37:140:37:16

She can take kicks and knocks all day long and it won't bother her.

0:37:160:37:21

We knew it was something kind of serious.

0:37:210:37:24

Kirsty, I've got some gas and air here, OK?

0:37:240:37:27

This will just relax your legs.

0:37:270:37:29

Deep, slow breaths in and out. Come on.

0:37:290:37:33

Kirsty's not far from the trauma centre at the James Cook Hospital

0:37:330:37:37

but going by air will make for a smoother journey

0:37:370:37:41

and if she has damaged her spine, that could be important.

0:37:410:37:45

We need to transport her as quickly and smoothly as we can.

0:37:450:37:49

We need to get her there without any overdue delay.

0:37:490:37:52

We don't know quite what's gone on inside her.

0:37:520:37:54

We can't look at that, but we can take a guess.

0:37:540:37:56

Kirsty's leaving her side a woman down

0:37:560:37:59

but that's the last thing on her team-mates' minds.

0:37:590:38:03

Paramedic Andy has already alerted the trauma unit

0:38:030:38:05

and his patient's already booked in for a series of tests.

0:38:050:38:10

As well as x-rays and scans,

0:38:100:38:12

Kirsty will be given a neurological examination to find the reason

0:38:120:38:16

for her confusion and unwillingness to communicate with her rescuers.

0:38:160:38:22

The next hour will be critical for her.

0:38:220:38:26

ALL: Yes!

0:38:280:38:30

WHISTLE BLOWS

0:38:300:38:32

100 miles south, women's football is big in South Yorkshire too,

0:38:320:38:37

thanks to local heroines, the Doncaster Belles,

0:38:370:38:40

who have long been the Man United of the ladies' game.

0:38:400:38:44

There's all the drama of the men's game,

0:38:440:38:46

including the odd goalmouth clash,

0:38:460:38:48

and that's why Helimed 99 is about to create some injury time.

0:38:480:38:54

We're just heading down to Bolton upon Dearne,

0:38:540:38:58

which is in South Yorkshire,

0:38:580:39:00

for what sounds like a young girl, a lassie,

0:39:000:39:03

who's hurt her neck playing football.

0:39:030:39:05

There seems to be some suspicion

0:39:050:39:07

she might have some altered sensation in her leg,

0:39:070:39:10

which could be down to a neck injury,

0:39:100:39:12

so probably best to play safe in these sorts of situations.

0:39:120:39:15

So we'll go down and see if we can help out.

0:39:150:39:18

There is a group of people.

0:39:180:39:20

I can't decide whether they're supporters

0:39:200:39:22

or whether that's the incident.

0:39:220:39:23

-OK that side?

-Yeah. Looking good on the right.

0:39:250:39:29

That's the football ground.

0:39:290:39:30

The casualty is the Belles' goalie,

0:39:330:39:35

now being treated in the back of an ambulance.

0:39:350:39:39

Paramedic Daryl, no mean player himself,

0:39:390:39:41

knows sporting injuries are not always to be shrugged off.

0:39:410:39:45

His patient's symptoms are worrying.

0:39:450:39:47

-Hiya. Are you all all right?

-This is Emily.

-Hi, Emily.

-Hiya.

0:39:470:39:51

-Emily's a goalkeeper.

-Oh, goalie, right. I'll just get some...

0:39:510:39:55

-How old are you, Emily?

-20.

-No pain down the back.

0:39:550:39:59

20-year-old Emily Darwin has been strapped to a spinal stretcher.

0:39:590:40:03

Ground paramedics fear she may have injured her neck.

0:40:030:40:06

-She just cannot move her right leg.

-OK.

0:40:060:40:09

She's got full sensation in her right leg.

0:40:090:40:10

But movement, she's got no movement?

0:40:100:40:12

She cannot move it. She feels it's numb.

0:40:120:40:15

The incident happened when Emily clashed with a Sheffield player.

0:40:150:40:19

Today's referees are taught

0:40:190:40:21

as much about first aid as the offside rule,

0:40:210:40:23

and he immediately stopped the game.

0:40:230:40:25

Eight and half minutes into the second half,

0:40:250:40:28

ran into the goalkeeper, ball through, striker on goalkeeper,

0:40:280:40:31

they both basically got there at the same,

0:40:310:40:33

the striker marginally got there slightly after the goalkeeper,

0:40:330:40:37

collided with the goalkeeper.

0:40:370:40:38

I gave the free kick to the defending side

0:40:380:40:40

for the foul on the goalkeeper, but it wasn't reckless or excessive,

0:40:400:40:44

it was purely and simply in the context of the game.

0:40:440:40:48

The Sheffield striker

0:40:480:40:49

who accidentally caused Emily's injury is in the clear.

0:40:490:40:54

It were a 50-50 challenge.

0:40:540:40:56

We both went in, I couldn't stop, clashed, and she got knocked out.

0:40:560:41:01

We'd only played ten minutes!

0:41:020:41:04

The game had only just begun when Emily was hurt.

0:41:050:41:08

It's led to more injury time

0:41:080:41:10

than all the stoppages the team normally sees in a whole season.

0:41:100:41:15

99, lifted, en route to Northern General.

0:41:170:41:21

Emily's mum was watching from the touchline

0:41:210:41:23

and she's now heading to meet her at the Northern General Hospital,

0:41:230:41:27

where she'll be undergoing scans and x-rays.

0:41:270:41:30

-Are we keeping you warm enough?

-I'm all right.

-Yeah? Good.

0:41:300:41:35

Doctors find Emily's injuries are not serious

0:41:350:41:39

and she's soon sent home.

0:41:390:41:41

She's back on the pitch in time for the next clash with rival Sheffield.

0:41:410:41:46

100 miles north, another female footballer is also back in action.

0:41:460:41:52

Middlesbrough striker Kirsty has recovered from her injury.

0:41:520:41:56

The pitch was boggy as.

0:41:560:41:58

There was mud everywhere, the challenges were just flying in.

0:41:580:42:01

I obviously took a few knocks that game.

0:42:010:42:04

The full game was rough, so it was just, like, taking knocks everywhere.

0:42:040:42:08

I'd went for the ball and as I'd slid, someone just followed through

0:42:080:42:12

and stood on the back of my neck and I took a knock,

0:42:120:42:15

and I was a bit disorientated after that as well, but then I played on.

0:42:150:42:19

There was only 20 minutes left, and then I took another knock

0:42:190:42:22

and that was it.

0:42:220:42:24

Doctors could find no major damage,

0:42:240:42:26

but it's thought she was probably suffering from concussion.

0:42:260:42:30

It was after the game, I just collapsed.

0:42:300:42:32

The game had finished and I was just on the floor. Nobody even realised!

0:42:320:42:36

SHE LAUGHS

0:42:360:42:38

I couldn't feel anything. My whole right side was just, like, numb.

0:42:380:42:43

My friend Rachel had to hold my head still and said the ambulance

0:42:430:42:47

was pricking my fingers and pricking my feet and I couldn't feel a thing.

0:42:470:42:51

'Everyone was upset.'

0:42:510:42:52

Keep doing it for a couple of minutes.

0:42:520:42:54

I had to go to physio for two weeks

0:42:540:42:56

to get my back and my neck moving again.

0:42:560:42:59

And Kirsty says her trip to A&E isn't going to put her off playing.

0:42:590:43:05

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